App high cost ss t/a/l >100sq cm 1st 100sq cm at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$3,874.08
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$8,071.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2,255.66 with Providence vs $13,747.00 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $2,255.66 | ↓ -42% |
| Aetna | Medicare Managed Care Plan | $2,653.72 | ↓ -32% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,780.25 | ↓ -28% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,131.35 | ↓ -19% |
| Aetna | Gatekeeper Hmo | $4,035.00 | ↑ +4% |
| Healthnet | Ambetter Hmo | $4,909.39 | ↑ +27% |
| Blue Shield | Epn Exchange | $6,652.00 | ↑ +72% |
| Blue Shield | Tandem Ppo | $8,244.00 | ↑ +113% |
| Blue Shield | Hmo/Ppo | $9,162.00 | ↑ +136% |
| Unitedhealthcare | Select/Navigate Hmo | $9,230.00 | ↑ +138% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +158% |
| Unitedhealthcare | All Commercial Plans | $10,117.00 | ↑ +161% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | ↑ +196% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | ↑ +255% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,640.91 | $226.00 – $5,858.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,159.43 | $197.34 – $3,556.00 |
| Healdsburg Hospital | Healdsburg | $3,593.46 | $2,779.95 – $5,198.77 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,941.00 | $1,528.00 – $6,423.00 |
| Providence Saint Joseph Medical Center | Burbank | $3,619.35 | $1,528.00 – $6,544.00 |
| Mercy Medical Center Redding | Redding | $954.69 | $273.43 – $1,883.00 |
| St. Elizabeth Community Hospital | Red Bluff | $1,123.62 | $245.92 – $1,924.00 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $11,185.00 |